Plastic and Reconstructive Surgery Department and Burns Unit, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain.
Plastic and Reconstructive Surgery Department and Burns Unit, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain.
J Plast Reconstr Aesthet Surg. 2014 Mar;67(3):407-10. doi: 10.1016/j.bjps.2013.07.022. Epub 2013 Jul 31.
Lumbar hernia is an unusual complication of the latissimus dorsi flap. Traditionally, it has always been repaired using open-surgery techniques. We present the first description of laparoscopic surgery to treat a non-complicated superior lumbar hernia resulting from the creation of an enlarged latissimus dorsi myocutaneous flap for breast reconstruction following left modified radical mastectomy. The laparoscopic approach substantially reduced the risks associated with open surgery, shortened length of hospital stay and time to recovery and obtained better cosmetic results. Laparoscopic surgery may be considered as a feasible therapeutic option for non-complicated superior lumbar hernias secondary to a latissimus dorsi muscle flap.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, V.
腰疝是阔背肌皮瓣的一种罕见并发症。传统上，它一直通过开放式手术技术进行修复。我们首次描述了腹腔镜手术治疗因左侧改良根治性乳房切除术后面部重建而扩大的阔背肌肌皮瓣所导致的非复杂性上腰椎疝。腹腔镜方法大大降低了与开放性手术相关的风险，缩短了住院时间和恢复时间，并获得了更好的美容效果。对于阔背肌肌皮瓣引起的非复杂性上腰椎疝，腹腔镜手术可被视为一种可行的治疗选择。
临床问题/证据水平：治疗，V。
